This model focused on developing and improving processes (e.g. workflows, roles, infrastructure) to support TMOUD implementation, rather than setting clinical standards or analysing barriers. A participatory approach was prioritised, drawing on clinical expertise and professional values. The model was context-sensitive, collective, and aligned with implementation theories like Normalization Process Theory, distinguishing TMOUD from standard MOUD, identifying key stakeholders, and outlining necessary processes and appraisal methods.<\/p>\n\n\n\n
Step 2: Gather supporting evidence<\/strong> Step 3: Engage stakeholders<\/strong> Step 4: Draft the implementation model<\/strong> Step 5: Consult stakeholders<\/strong> Step 6: Finalise model<\/strong> The final specification for the TMOUD implementation model incorporated key strategic priorities, service delivery prerequisites, service design elements, stakeholder identification and engagement, key process domains, and iterative cycles of evaluation and improvement.<\/p>\n\n\n\n Through stakeholder engagement and key informant consultation, we produced a process- and service-focused TMOUD implementation model. The model is modifiable to different contexts and settings while also in keeping with the current evidence base and national and international standards of high-quality opioid use disorder care.<\/p>\n\n\n\n Tay Wee Teck J<\/strong>, Gittins R, Zlatkute G, Oteo A, Galea-Singer S, Baldacchino A.<\/strong> (2023) Developing a theoretically informed implementation model for telemedicine-delivered medication for opioid use disorder: A qualitative study with key informants. JMIR Ment Health<\/em> 2023;10:e47186. DOI: 10.2196\/471863<\/a><\/p>\n\n\n\n Tay Wee Teck J<\/strong>, Butner J, Baldacchino A.<\/strong> (2023) Understanding the use of telemedicine across different opioid use disorder treatment models: A scoping review. Journal of Telemedicine and Telecare<\/em> 2023. DOI: 10.1177\/1357633X231195607<\/a><\/p>\n\n\n\n Tay Wee Teck J<\/strong>, Zlatkute G, Perez A … Galea-Singer, S, Baldacchino A.<\/strong> (2023) Key implementation factors in telemedicine- delivered medications for opioid use disorder: a scoping review informed by normalisation process theory. The Lancet Psychiatry <\/em>2023; 10: 50\u201364. DOI: 10.1016\/S2215-0366(22)00374-1<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" Working with service providers across the US, Canada, UK, and Ireland, we co-developed a process- and service-focused model for the implementation Telemedicine-mediated Medication Assisted Treatment for Opioid Use Disorder…<\/p>\n","protected":false},"author":5884,"featured_media":1350,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[25],"tags":[],"class_list":["post-796","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-imp_sci_systems"],"_links":{"self":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/posts\/796","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/users\/5884"}],"replies":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/comments?post=796"}],"version-history":[{"count":0,"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/posts\/796\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/media\/1350"}],"wp:attachment":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/media?parent=796"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/categories?post=796"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/tags?post=796"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Due to limited TMOUD-specific implementation evidence, we conducted inclusive, iterative scoping reviews and collected expert case studies via addiction professional networks (e.g. ISAM, CSAM) to inform model development.<\/p>\n\n\n\n
We identified stakeholders via Scotland\u2019s 31 ADPs, national advocacy groups, research networks, and professional bodies. As TMOUD had little presence locally, we initiated a web-based event featuring expert presenters from multiple countries. Participants could engage via live chat and indicate interest in future involvement.<\/p>\n\n\n\n
The initial draft drew on policy reviews, expert input, transcripts from the engagement event, and evidence from TMOUD implementation literature and case studies.<\/p>\n\n\n\n
The draft was shared via PDF and a web-based platform for asynchronous feedback. Some participants requested emailed copies due to access or privacy concerns. All feedback was reviewed and discussed in a final roundtable with key decision-makers.<\/p>\n\n\n\n
The revised draft was updated with ongoing literature findings and stakeholder input, resulting in the final TMOUD implementation model based on combined evidence, expert insight, and participatory engagement.<\/p>\n\n\n\nResults<\/h3>\n\n\n\n
![\"\"](\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2024\/04\/image.png\")
Source: doi:10.2196\/47186<\/a><\/figcaption><\/figure>\n\n\n\nOutputs<\/h3>\n\n\n\n